Mackenzie Johnson
Mackenzie Johnson is a Speech-Language Assistant in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
13816 N 65th EIdaho Falls, ID 83401-5319
Phone: (208) 221-8688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Assistant (primary) | Taxonomy 2355S0801X |
|---|
Record details
| NPI number | 1366215667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2023 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
| Mailing address | 13816 N 65th E, Idaho Falls, ID 83401-5319 |